INSPECTION WORKSHEET 04242024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: SEP-0117-2021 Case Module: Permit
Inspection Date: April 24, 2024 Inspection Status: Reinspect
Inspector: Charles Dyer Inspection Type: Septic
Job Address: 135 SEELYE RD
, Parcel Number:
Contact Type Company Name Name
Owner N/A Bernardo DeJesus
Contractor Stone Industries
Engineer DL Dickinson Associates
Checklist Item
Status
Building Inspector notes
this is a 2021 permit / system verified, as built report received from DL
Dickinson, see file.
4/24/24 was to verify adding 2 pods for Puraflo system, see specs
PASS
Public sewer sign off
N/O
Roof gutters don't discharge over leach
field
N/O
Soil type: sand
N/O
Soil type: loam
N/O
Soil type: clay
N/O
Type of water: municipal or well water
PASS
Waterline separation distance
PASS
Well casing length 50 ft. more or less
PASS
Total length of absorption fields
N/O
Septic system field above field plain
N/O
Sump pump not connected to septic
system
N/O
Septic tanks and pump station anchored
in flood zone
N/O
Water softener not hooked to septic
system
N/O
Length of each trench
N/O
Depth of trenches
N/O
System use status
N/O
Number of seepage pits
N/O
Size
N/O
Size of stones
N/O
Opening sealed
N/O
End cap
N/O
Inlet outlet pipes and baffles, provide
extension collar if yes
N/O
Locations and separations
N/O
Distance from foundation to tank
N/O
Distance from foundation to absorption
field
N/O
Separation of seepage pits
N/O
Stone size
N/O
Size of tank
see asbuilt
PASS
50 percent alarm level activates
PASS
90 percent alarm level activates
PASS
Water shut off activates at 90 percent full
N/O
Final electrical
PASS
Conforms as per plot plan
PASS
Engineer report and as-built
provide engineer report for additional pods
N/O
ETU Maintenance Contract provided
N/O
Well separation distance
N/O
Location of system on property
see specs
PASS
Charles Dyer
Code Enforcement Officer